\ H1B CASE NUMBER I-200-23150-060975



CASE NUNBER: I-200-23150-060975

LCA CASE NUMBERI-200-23150-060975
STATUSCertified
LCA CASE SUBMIT2023-05-30
DECISION DATE2023-06-06
VISA CLASSH-1B
LCA CASE JOB TITLEMEDICAL TECHNOLOGIST
SOC CODE29-2011.00
SOC TITLEMedical and Clinical Laboratory Technologists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2023-07-01
END DATE2026-06-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEJACK COUNTY HOSPITAL DISTRICT
TRADE NAME DBAFAITH COMMUNITY HEALTH SYSTEM
EMPLOYER ADDRESS1215 CHISHOLM TRAIL
EMPLOYER CITYJACKSBORO
EMPLOYER STATETX
EMPLOYER POSTAL CODE76458
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE19405676633
NAICS CODE622110
EMPLOYER POC LAST NAMEMILLER
EMPLOYER POC FIRST NAMEKARLA
EMPLOYER POC JOB TITLEDIRECTOR OF LABORATORY SERVICES
EMPLOYER POC ADDRESS1215 CHISHOLM TRAIL
EMPLOYER POC CITYJACKSBORO
EMPLOYER POC STATETX
EMPLOYER POC POSTAL CODE76458
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19405676633
EMPLOYER POC PHONE EXT292
EMPLOYER POC EMAILkmiller@fchtexas.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEMANGARON
AGENT ATTORNEY FIRST NAMEEDWARD
AGENT ATTORNEY MIDDLE NAMENALASA
AGENT ATTORNEY ADDRESS1P.O. BOX 9624
AGENT ATTORNEY CITYSPRING
AGENT ATTORNEY STATETX
AGENT ATTORNEY POSTAL CODE77387
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14329409985
AGENT ATTORNEY EMAIL ADDRESSedn.mangaron.esq@gmail.com
LAWFIRM NAME BUSINESS NAMELAW OFFICE OF EDWARD N. MANGARON
STATE OF HIGHEST COURTNY
NAME OF HIGHEST STATE COURTCOURT OF APPEALS
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1215 CHISHOLM TRAIL
LCA CASE WORKLOC1 CITYJACKSBORO
WORKSITE COUNTYJACK
LCA CASE WORKLOC1 STATETX
WORKSITE POSTAL CODE76458
LCA CASE WAGE RATE FROM28
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE19.82
PW UNIT OF PAYHour
PW WAGE LEVELII
PW OES YEAR7/1/2022 - 6/30/2023
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business